Redwood Injury Treatment Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

352304-1205 Issued in UT

Legal business name

REDWOOD INJURY TREATMENT CENTER INC.

Practice address

6321 S Redwood Rd
Suite 105
Taylorsville, UT 84123-6798

Phone

(801) 904-3089

NPI assigned

Jun 1, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Ormond

Title

Owner

Phone

(801) 856-6368

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1538549993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 UNION BLVD",
            "address_2": "SUITE 125",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281856",
            "telephone_number": "303-330-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD",
            "address_2": "SUITE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236798",
            "telephone_number": "801-904-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD INJURY TREATMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "ORMOND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-856-6368"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "352304-1205",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "7376354-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ray
• Bobbi Jean Reasch
• Monique Rebaza
• Matthew Reddin
• Redwood Injury Treatment Center
• Redwood Orthodontics (Families First Orthodontics)
• Redwood Pediatric Dentistry
• Kaycee Reed
• Kelton Reed
• Cierra Reeder

• Family Medicine Physician in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.